Individual
IRMA CORONA CREEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
503 16TH ST E, TIFTON, GA 31794-3603
(229) 326-5764
Mailing address
503 16TH ST E, TIFTON, GA 31794-3603
(229) 326-5764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN188718
GA
Other
Enumeration date
07/23/2020
Last updated
01/31/2022
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